# STATE OF TENNESSEE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stewart County Community Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083767883
- **Authorized official:** MR. ANNETTE M. HALEY (REGIONAL DIRECTOR)
- **Authorized official phone:** (615) 650-7000

## Contact information

- **Practice address:** 1021 SPRING ST, DOVER, TN 37058-3302
- **Practice address phone:** (931) 232-5329
- **Practice address fax:** (931) 232-7247
- **Mailing address:** 1021 SPRING ST, DOVER, TN 37058-3302
- **Mailing address phone:** (931) 232-5329
- **Mailing address fax:** (931) 232-7247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | TN | Yes |
| 261QF0400X | Federally Qualified Health Center (FQHC) | — | TN | — |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 08/28/2012